摘要
本研究通过Meta分析评估经口机器人手术(TORS)与传统开放手术治疗口咽癌的效果。检索PubMed等数据库至2023年3月的文献,纳入17项临床研究、2358例患者,用ROB工具评估质量,RevMan5.4分析数据。结果显示,两组3年总生存率无显著差异;TORS组术中出血量减少38%,手术时间缩短25分钟,住院天数减2.1天;术后主要并发症发生率降低42%,吞咽功能障碍发生率显著更低(P<0.001);术后6个月吞咽功能评分提高17分,语言清晰度改善23%;生活质量在躯体、社会功能等维度得分显著更优(P<0.05)。结论:TORS在微创性、功能保留和生活质量改善方面具临床优势。
This meta-analysis compared transoral robotic surgery(TORS)and traditional open surgery in 2,358 patients from 17 studies(up to March 2023).Using RevMan 5.4 and ROB tools,results showed comparable 3-year survival.TORS reduced intraoperative blood loss by 38%,operative time by 25 minutes,and hospital stay by 2.1 days,with 42%fewer major complications and significantly lower swallowing dysfunction rates(P<0.001).At 6 months,TORS improved swallowing scores by 17 points,speech clarity by 23%,and quality-of-life metrics(P<0.05).
作者
汪莹
何海涛
Ying Wang;Haitao He(Daping Hospital,Amy Medical University,Department of oral and maxillofacial surgery,Chongqin 400042;Xinqiao Hospital,Amy Medical University,Department of oral and maxillofacial surgery,Chongqing 400042)
出处
《医学研究前沿》
2025年第6期7-9,共3页
Frontiers of Medical Research
基金
重庆市科委联合医学科研项目(2018ZDXM038)。
关键词
经口机器人手术
传统手术
口咽癌
治疗
META分析
transoral robotic surgery
traditional surgery
oropharyngeal cancer
treatment
Meta-analysis
